Cardiology

Thrombolysis

A 63 year old Music teacher has a full thickness inferior myocardial infarction. The paramedics feel that it is “thrombolysable” based on their ECG tracing. What would you expect to see on the ECG? ST elevation in II III AVF ST elevation V1 V2 V3 ST elevation V4 V5 V6 T wave inversion only ST […]

Cardiology

Thrombolysis – part 3

Continued from previous question. The ECG actually shows an anterior myocardial injury. The medical student feels its a “thrombolysable” anterior MI. Which of the following changes would make the ECG “thrombolysable”? ST elevation of 1mm in leads V1 and V3 ST elevation of 1mm in leads V1 and V2 only ST elevation of 1mm In […]

Cardiology

Post MI treatment

A patient makes a good recovery following emergency treatment. She is a non smoker. Her cholesterol is 3.1 (<5.5) with an HDL of 1. Assuming she has no contraindications to any of the following which class of drugs should she take following her STEMI? (please select all that apply) ACE inhibitor Statin Calcium Channel Blocker […]

Cardiology

NYHA Criteria

A 62 year old man is breathless following his heart attack. He is unable to climb a flight of 10 stairs without stopping. Which of the following is true? He has NYHA (New York Heart Association) class I heart failure He has NYHA class II heart failure He has NYHA class III heart failure He […]

Cardiology

Best treatment?

A patient has ongoing pain and has ECG changes that are considered “thrombolysable”. Based on the available evidence what is the best treatment for her? Thrombolyse immediately Emergency Angiography +/- +/- plasty/stent * Either Thrombolysis or emergency angiography+/- plasty/ stent have almost identical outcomes Emergency Coronary artery Bypass Graft None of the above

Cardiology

Man with blackouts

A man presents with blackouts. His cardiac exam is as follows: Pulse: Slow rising First heart sound (s1): normal Second Heart sound (s2) : normal Murmur: Ejection systolic and early diastolic rumbling murmur What is the most likely diagnosis? Aortic Stenosis Aortic Stenosis with Aortic Regurgitation Aortic Stenosis with Mitral Regurgitation Mitral stenosis with mitral […]